Individual
DR. MCKENNA NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
9348 E RITA RD STE 180, TUCSON, AZ 85747-6303
(520) 324-1036
(520) 324-1035
Mailing address
1329 W 300 S, FARMINGTON, UT 84025-5503
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
94188383102
UT
363LF0000X
Family Nurse Practitioner
Primary
257364
AZ
363LF0000X
Family Nurse Practitioner
9418838-4405
UT
363LF0000X
Family Nurse Practitioner
9418838-8900
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094543
—
AZ
Enumeration date
07/14/2019
Last updated
03/21/2023
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